Organization
GASEM925 ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM QUATMAN CRNA (PRESIDENT)
(727) 278-4098
Entity
Organization
Contact information
Practice address
11308 STATE ROAD 54 STE B, TRINITY, FL 34655-2294
(727) 859-1034
Mailing address
15316 PHILLIPS RD, ODESSA, FL 33556-3731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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